MS. EMILY ELISE JENSEN (PA) – Medical Physician Assistant, NPI 1497030118

MS. EMILY ELISE JENSEN (PA) is a healthcare provider. based in Plainfield, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 085004165 (IL). The NPI Number for MS. EMILY ELISE JENSEN (PA) is 1497030118

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. EMILY ELISE JENSEN (PA)
NPI
1497030118
Phone
(630) 643-3886
Address
17735 S WILLIAMSBURG DR
Enumeration Date
13 October 2011
Last Update Date
27 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737941000
Graduation Year
2009 (17 years ago)
PAC ID
8921273210
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20111215000255
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MS. EMILY ELISE JENSEN (PA)

  • 17735 S WILLIAMSBURG DR

    PLAINFIELD, IL 605868636

    Phone: (630) 643-3886

    Type: Mailing

  • 391 S BOLINGBROOK DR

    BOLINGBROOK, IL 604403411

    Phone: (630) 226-1006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $665.

Total Amount is formed as General ($665) + Research ($0) + Ownership ($0) = $665.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($229).

Total Amount

$665

General + Research + Ownership

Payments

43

Total payment records

General Amount

$665

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111215000255IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3025$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 60586)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729064159View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Physician AssistantMI
Physician AssistantIL
-NY
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantMI
Physician AssistantIL

Reviews

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Frequently asked questions

What is the standard ID for MS. EMILY ELISE JENSEN (PA) in the U.S.?
In the U.S., MS. EMILY ELISE JENSEN (PA) is identified by NPI 1497030118.
Is MS. EMILY ELISE JENSEN (PA) currently accepting referrals based on NPI status?
Registry metadata lists MS. EMILY ELISE JENSEN (PA) as active.
What does the directory say MS. EMILY ELISE JENSEN (PA) does?
Insurance directories may phrase it differently, but here MS. EMILY ELISE JENSEN (PA) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MS. EMILY ELISE JENSEN (PA)?
The directory associates MS. EMILY ELISE JENSEN (PA) with Plainfield, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MS. EMILY ELISE JENSEN (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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